NPI | 1295830982 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY30899) |
Additional Taxonomies | 103T00000X Psychologist (Licence: MA 7816) |
Enumeration Date | 2006-09-14 |
Last Update Date | 2020-08-08 |